Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $27.12 / $30.48	Professional		$12.35	$27.12	$30.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.85 / $4.42 / $10.08	Professional	26	$0.85	$4.42	$10.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.73 / $21.20 / $25.85	Professional	TC	$8.73	$21.20	$25.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $15.88 / $15.88	Professional		$15.88	$15.88	$15.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.08 / $2.60 / $12.72	Professional	26	$2.08	$2.60	$12.72
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.51 / $11.51 / $11.51	Professional	TC	$11.51	$11.51	$11.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $11.30 / $25.38	Professional		$8.30	$11.30	$25.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $1.87 / $1.87 / $7.51	Professional	26	$1.87	$1.87	$7.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.10 / $9.52 / $17.87	Professional	TC	$6.10	$9.52	$17.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $10.98 / $20.32	Facility		$10.32	$10.98	$20.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.98 / $3.17 / $5.87	Facility	26	$2.98	$3.17	$5.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $14.93 / $27.12	Professional		$7.91	$14.93	$27.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.20 / $2.31 / $7.50	Professional	26	$2.20	$2.31	$7.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.60 / $12.63 / $20.48	Professional	TC	$5.60	$12.63	$20.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $17.07 / $27.17	Professional		$3.47	$17.07	$27.17
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.04 / $4.50 / $7.16	Professional	26	$1.04	$4.50	$7.16
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.45 / $12.58 / $20.01	Professional	TC	$2.45	$12.58	$20.01
United Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $13.64 / $26.05	Professional		$8.81	$13.64	$26.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.65 / $2.85 / $8.92	Professional	26	$2.65	$2.85	$8.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.45 / $11.14 / $17.89	Professional	TC	$6.45	$11.14	$17.89